Advanced Health Assessment Final Exam 2024 Graded A

A circumscribed, elevated lesion, >1 cm I diameter and containing clear serous fluid is best described as - Bulla The history and physical of a client indicates paste occurrences of lichenification. The NP identifies this as: - Rough, thickened epidermis, accentuated skin markings On examination of a client's skin, the nurse practitioner finds a lesion that is about 0.75 cm in diameter, brown, and circumscribed. Correct term for this lesion is: - Macule In performing a skin assessment, the NP understands that the following characteristic of a mole would need intervention: - A new 2mm mole that is brown with a red, irregular border, and occasionally pruritic The NP describes an annular skin lesion as usually arranged in - A circle or ring shape An NP educating patients realizes that risk factors for skin cancer include all except: - Dark eyes Which of the following in a client's history would place the patient most at risk for melanoma? - Intense, intermittent sun exposure An elderly retired farmer presents with a rolled border, pearly, firm nodule with telangiectasia on his nose. This is: - Basal cell carcinoma An adult female presents with an irregular, variegated nevus on her left lower back that has doubled in size the past ?. The NP should: - Refer immediately to a dermatologist The ABCDs of melanoma identification include all of the following EXCEPT: - B (bridging): connection across sides Your patient is 2 weeks old. During your assessment, you note that she has pinhead sized, smooth, white, raised areas. You document this as: - Milia Which skin lesions are directly related to chronic sun exposure and photo damage? - Actinic keratosis In your assessment you note Ms. Angel has white nail syndrome, you order: - BUN & Creatinine Mary D. an 84 y.o F has multiple solar lentils <1 cm. These are not uncommon for her age. You would describe these as: - Macules Lou, a 50 yo homeless man is diagnosed with tinea capitis. You realize this is cause by a(n): - Dermatophyte Ron R presents with dependent edema. You assess he has a >1 inch indentation up to mid-tibia bilaterally. You document this as: - +4 edema The most common type of melanoma is the: - Superficial You are assessing Arlene C's skin complaint. You get a +Auspitz sign. This aides you in the diagnosis of: - Psoriasis As you gather you history from a patient with atopic dermatitis what other items in the personal or family history would you expect with this patient? - Asthma Which of the following statements best describes squamous cell carcinoma? - Often has a keratinous horn You are assessing a newborn and note the baby is jaundiced. He is 3 days old. You realize that for this to be a normal finding it must be gone within: - 1 week What are the major components to be documented for a skin lesion? - -Distribution -Configuration -Palpable features -Pattern -All of the above Which of the following presentations suggests a diagnosis of a malignant melanoma? - Lesion with border irregularity All of the following statements concerning basal cell carcinoma are true EXCEPT? - It is most often found on abdomen or trunk The NP denotes a bruit above and to the left of the umbilicus. This finding is consistent with: - History of HTN As you palpate the abdomen, + rebound tenderness at McBurney's point would alert you to: - Appendicitis Which of the following is true regarding colorectal cancer? - Later disease presentation often includes iron deficiency anemia You assess for Cullen sign in Dan, age 62, after surgery. Cullen sign may indicate: - Intra-abdominal bleeding